Diane Louise Stellrecht in St Louis Park - Adult Development & Aging
Diane Louise Stellrecht - NPI 1013108075
Diane Louise Stellrecht is a Adult Development & Aging in St Louis Park, Minnesota. Diane Louise Stellrecht practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Diane Louise Stellrecht is 1013108075. The last update date is 2021-12-22.
Diane Louise Stellrecht's current location address is 4240 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 6129256033 and fax number 6129258496. The mailing address for Diane Louise Stellrecht is 4240 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Louise Stellrecht |
|---|---|
| Address | 4240 Park Glen Rd, St Louis Park, Minnesota |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
| Sole Proprietor | Y |
| Credentials | PHD, LP |
NPI Number Detail
| NPI Number | 1013108075 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 4240 Park Glen Rd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554165427 |
| Phone Number | 6129256033 |
| Fax Number | 6129258496 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 1130 |
|
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 588350400 | MN | -- | |
| 28682ST | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Diane Louise Stellrecht by the Centers for Medicare & Medicaid Services?
The Diane Louise Stellrecht has been issued the NPI (National Provider Identifier) 1013108075, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Diane Louise Stellrecht's facilities are situated?
The facilities of Diane Louise Stellrecht are physically located at the following address: 4240 Park Glen Rd, St Louis Park, MN, 554165427.
What is Diane Louise Stellrecht's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane Louise Stellrecht's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
On what date did the Diane Louise Stellrecht receive the assignment of its 1013108075 from the Centers for Medicare & Medicaid Services?
The Diane Louise Stellrecht was issued its 1013108075 by the Centers for Medicare & Medicaid Services on 2007-08-06.
When was the information related to Diane Louise Stellrecht most recently updated or refreshed?
The details pertaining to the Diane Louise Stellrecht, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-22.
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